Orthopedics

Professional Education
Safe and Effective Opioid Prescribing - Georgia Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management, as delineated in Georgia Rule 360-15-.01. It also provides tools and resources to assist in educating staff and informing patients.
3.0 Credits

Professional Education
Prescribing Opioids Safely
Faced with an opioid-related epidemic that continues to bring addiction and deaths, it is important to define the role of opioids for both acute and chronic pain management. This activity spotlights the epidemic and presents the Centers for Disease Control and Prevention (CDC) guidelines, regulations, studies, and emerging solutions to address the epidemic and allow for effective and appropriate use of these drugs.
2.5 Credits

Professional Education
Safe and Effective Opioid Prescribing - Michigan Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and requirements delineated in Michigan’s law. It also provides tools and resources to assist in educating staff and informing patients.
3.0 Credits

Nov 05, 2019
When Treating Kids, Learn from the Emergency Department
Phyllis L. Hendry, MD, FAAP, FACEP
To prevent communication gaps when treating kids, all specialties can benefit from lessons learned in the Emergency Department, where conversations are rushed, stakes are high, teams are assembled ad hoc, and physicians seldom have relationships with the patient.

Professional Education
HIPAA Fundamentals: 2019-2020 Edition
This program provides details on the HIPAA Privacy, Security, and Breach Notification Rules, such as the type of information that is protected, who must comply with the rules, and how patient information can be used and disclosed. This on-demand program includes many resources useful to staff training.
1.0 credits

Sep 05, 2019
Advanced Practice Provider Closed Claims: What Can We Learn?
Howard Marcus, MD, FACP, and Susan Shepard, MSN, RN, Senior Director, Patient Safety Staff Education
Top allegations in our claims analysis involving advanced practice providers centered on diagnosis.
From The Doctor’s Advocate

Aug 27, 2019
Electronic Health Records Continue to Lead to Medical Malpractice Suits
Darrell Ranum, JD, Vice President of Patient Safety and Risk Management
We analyzed 216 medical malpractice claims that closed from 2010 to 2018 in which EHRs contributed to patient injury. The pace of these claims grew, from a low of seven cases in 2010 to an average of 22.5 cases per year in 2017 and 2018. As EHRs approach near-universal adoption, they may become a more prevalent source of patient safety risk.

Professional Education
Advanced Practice Providers Closed Claims: What Can We Learn?
The Doctor's Advocate CME
A recent study by the Association of American Medical Colleges predicts that the U.S. would need an additional 95,900 doctors, 22,700 NPs, and 12,800 PAs immediately if healthcare use patterns were equalized across race, insurance coverage, and geographic location. More understanding of the liability associated with APPs can help provide insight on the current situation and identify strategies that decrease risk, improve patient safety, and advance patient care.
1.0 Credits

Professional Education
Physical Examination and Its Impact on Outcomes
The Doctor's Advocate
Advancements in technology improve the timeliness and accuracy of many diagnoses but the technology does not replace a thorough physical examination. For some diseases, such as Parkinson’s disease, herpes zoster, cellulitis, and Bell’s palsy the PE is the only diagnostic tool available. This short course makes the case for reversing the downward trend for physical examinations.
0.75 Credits

Video Apr 09, 2019
Study of Malpractice Claims Involving Children
Patient safety risks when treating children vary depending on the patient’s age—but communication breakdowns between doctors and patients/families occur in malpractice claims for pediatric patients of ALL ages. Watch this important case study to learn more.

Mar 20, 2019
Study of Malpractice Claims Involving Children
Darrell Ranum, JD, CPHRM, Vice President, Patient Safety and Risk Management
The Doctors Company analyzed 1,215 claims filed on behalf of pediatric patients that closed from 2008 through 2017. The study is based on the claims filed against physicians in 52 specialties and subspecialties and includes an overview of the most common types of claims, expert insights into the specific elements that led to patient injury, and risk mitigation strategies.

Professional Education
Opioid Pain Management and Appropriate Prescribing for Older Adults
This activity includes five video segments on effective pain management and appropriate prescribing of opioid medication for older adult patients. Presenters include a family practice physician, orthopedic surgeon, palliative care physician, and a pain management specialist provider.
1.5 Credits

Jul 27, 2018
Distracting Devices in Healthcare: Malpractice Implications
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager II
Digital distraction in healthcare is emerging as a great threat to patient safety and physician well-being. Personal electronic devices can create a digital distraction so engaging that it consumes awareness, potentially preventing healthcare providers from focusing on the primary task at hand—caring for and interacting with patients.

Professional Education
Distracted Practice in the Perioperative Area
The invasion of personal electronic devices (PEDs) into certain healthcare environments can put patients at risk. The perioperative area is an environment where distraction from PEDs can lead to patient injury or death. This activity provides tools and information for individuals to become aware of risks, to assess how PEDs impact their environment, and to develop preventive measures to control PED usage.
1.25 Credits

Professional Education
Podiatry Risk Management
An analysis by The Doctors Company of closed podiatry claims revealed the prevalent risk factors that contributed to patient injury. The analysis showed that most claims result from errors in systems, rather than faulty medical judgment or performance. This activity helps podiatrists recognize risk exposures and take steps that reinforce a culture of patient safety in their practice.
1.5 Credit

Professional Education
Managing Orthopedic Risks
National Edition
The activity examines the analysis of closed orthopedic claims from The Doctors Company and the Medical Professional Liability Association. Case studies highlight system errors and define strategies to prevent errors and reduce the risk of a malpractice claim.
1.0 Credit

Professional Education
Orthopedics: A Deep Dive into Managing Risks
National Edition
This activity identifies the systems and processes that represent the highest risks for patient harm in an orthopedic practice. It reviews strategies known to reduce these risks and contribute to better patient outcomes.
1.0 Credit

Apr 10, 2018
Orthopedics: Informed Consent
Robert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management, and Dana Faber, MS PSL, RN, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
Inadequate informed consent communication between the surgeon and the patient/family is a top factor contributing to claims against orthopedists.

Professional Education
Orthopedics: A Deep Dive into Managing Risks
Florida Orthopedic Risk Purchasing Group (FORPG)
This activity is designed for Florida Orthopedic Risk Purchasing Group (FORPG) members. Like our national version, it identifies the systems and processes that represent the highest risks for patient harm in an orthopedic practice. It covers the strategies known to reduce these risks and improve patient outcomes.
1.0 Credit

Video Mar 21, 2018
What to Expect from Litigation: Dr. Wuest's Perspective
Thomas K. Wuest, MD, MMM, an orthopedic trauma surgeon in Eugene, Oregon, describes his experience defending himself against a medical malpractice suit involving a man who fell over 20 feet from a utility pole and sustained multiple injuries.

Professional Education
Orthopedic Risk Management
Florida Orthopedic Risk Purchasing Group (FORPG) 2018-2020
The activity is for members of the Florida Orthopedic Risk Purchasing Group (FORPG). Case studies highlight system errors and define strategies to prevent errors and reduce the risk of a malpractice claim.
1.0 Credit

Video Oct 03, 2017
Orthopaedic Trauma Surgery: Innovations in Patient Safety
Douglas W. Lundy, MD, MBA, an orthopedic trauma surgeon at Resurgens Orthopaedics in Atlanta, Georgia, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Orthopedics Closed Claims Study. The study revealed that most claims against orthopedists do not reflect the quality of care, but the patient’s perception of the care. Many lawsuits stem from known complications of the procedure.

Video Jul 24, 2017
The Opioid Epidemic: A Closed Claims Analysis
Opioids play an important role in pain management—both in the acute and chronic settings. Unfortunately, the dramatic increase in opioid use over the past few decades has resulted in an opioid-related epidemic of addiction and death. To take a deeper look at the epidemic, The Doctors Company reviewed 272 malpractice claims in which patient harm involved opioids.

Video Jun 13, 2017
Orthopaedics: Innovations in Patient Safety
Ralph A. Gambardella, MD, an orthopedic surgery and sports medicine specialist with the Kerlan Jobe Orthopaedic Clinic in Los Angeles, California, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Orthopedics Closed Claims Study. Patient behaviors are a factor in over one-third of orthopedic claims.

Jun 06, 2017
Prescribing Opioids Safely
Howard Marcus, MD, FACP
Dr. Howard Marcus discusses guidelines and recommendations for preventing opioid misuse and addiction in patients with acute or chronic pain.
From The Doctor’s Advocate

Apr 17, 2017
Prescribing Opioids Safely: How to Have Difficult Patient Conversations
Roneet Lev, MD, Chief of Scripps Mercy Emergency Department, Chair of Prescription Drug Abuse Medical Task Force, and President of Independent Emergency Physicians Consortium
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. Building a strong doctor-patient rapport can help facilitate tough conversations with patients about opioid prescriptions and reduce risks that could lead to malpractice suits.

Feb 18, 2017
Up for Review: Five Keys to Managing Online Criticism
Kevin Pho, MD, Founder and Editor, KevinMD.com
No matter how professional and caring a doctor you may be, eventually you will face criticism on the web. Here are five keys to managing that criticism.

Nov 30, 2016
Watch for the Signs: Screen All Patients for Suicidal Thoughts
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
Patients with suicidal thoughts or ideation appear occasionally in physician encounters. Any patient, no matter what issue is being treated and in any setting, could be at risk for suicide. A consistent and formal screening process, plus a response plan, will protect both the patient and the physician.

Nov 08, 2016
Meeting the Challenges of the Nonadherent Orthopedic Surgical Patient
Cynthia Morrison, RN, CPHRM, Senior Patient Safety Risk Manager, and Amy Wasdin, RN, CPHRM, Patient Safety Risk Manager II.
Orthopedic surgeons can reduce potential liability by following these tips for managing nonadherent patient behavior.

Sep 21, 2016
Physical Medicine and Rehabilitation
Michelle Swift, JD, RN, Patient Safety Risk Manager II.
We analyzed closed physical medicine and rehabilitation claims to better understand what motivates allegations of injury.

Feb 18, 2016
Are Decisions Shared?
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management
There is a growing emphasis on patient-centered care and shared decision making in healthcare.
From The Doctor’s Advocate

Aug 26, 2015
Orthopedics Closed Claims Study
The study of 1,895 orthopedics malpractice claims identified the most common patient allegations and the specific factors contributing to patient injury.

Dec 20, 2013
Interactive Guide to Patient Safety for Office Practices
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your practice.

Oct 03, 2013
Medical Clearance
Susan L. Marr, MSA, CPHRM, Patient Safety/Risk Management Account Executive, The Doctors Company.
Medical clearance should involve an exchange of information between the surgeon and the assessing physician to mitigate risk to the surgical patient.

Nov 21, 2012
Interactive Guide for Orthopedic Physicians
Our interactive guide is designed to help you uncover areas of malpractice exposure in your orthopedic practice.

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